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KMID : 0363219960340020336
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Korean Journal of Dermatology
1996 Volume.34 No. 2 p.336 ~ p.340
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Three Cases of Acne Keloidalis Nuchae
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Abstract
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We report three cases of acne keloidalis nuchae which sowing typical clinical and histopathological findings. A 61-year-old man showed well-defined child-fist sized erythematous to skin-colored hard plaque on his posterior scalp since two years
ago
and
was treated by surgical excision and skin graft(STSG). A 22-year-old man showed discrete pinkish to erythematous pea sized follicular papules and pustules on his occiput since seven years ago and was treated by intralesional injection of
triamcinolone
for several times with fair response. Finally, a 38-year-old black man showed variable sized hard round follicular papules on his posterion scalp with several grouped hairs on the center of papules and was treated by intralesional injection of
triamcinolone effectively. Histopathologicallly, common findings were follicular and perifollicular inflammation with the infiltration of plasma cells, neutrophils, lymphohistiocytes, massive dermal fibrosis resembling scar tissue, and diminished
sebaceous glands.
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